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General NPI Number Information
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NPI Number | 1851316855
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Entity Type | Individual
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Provider Name | JOHN ROBERT BRUMSTED M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 111 COLCHESTER AVE ACC, FAHC ,EP 4
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City | BURLINGTON
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State | VT
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Zip | 05401-1473
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Country | US
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Telephone | 802-847-3450
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Fax |
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Provider Business Mailing Address
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Address Line | 217 HEATHER LN
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City | SHELBURNE
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State | VT
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Zip | 05482-7184
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Country | US
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Telephone | 802-985-9588
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 042-0007101
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 042-0007101
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 042-0007101
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License Number State | VT
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